Russell A. Boatwright, D.m.d., P.c. is a Dental Clinic in Conway, South Carolina. It is located at 1603 10th Ave, Conway, SC and its contact number is 843-248-2705. The authorized person for Russell A. Boatwright, D.m.d., P.c. is Dr. Russell A Boatwright Sr.
who is President of the clinic and their contact number is 843-248-2705. The primary license number for Russell A. Boatwright, D.m.d., P.c. is 2775 (General Practice) in South Carolina.
Russell A. Boatwright, D.m.d., P.c. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Russell A. Boatwright, D.m.d., P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Russell A. Boatwright, D.m.d., P.c. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1603 10th Ave, Conway,
South Carolina, 29526-4111 |
| Phone: | 843-248-2705 |
| Fax: | 843-248-4202 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Russell A Boatwright Sr. |
| Position: | President |
| Contact Number: | 843-248-2705 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Russell A. Boatwright, D.m.d., P.c. clinic are as mentioned below.
| NPI Number: | 1114091600 |
| NPI Enumeration Date: | 17 Nov, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell A. Boatwright, D.m.d., P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 2775 | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ZA9860 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Russell A. Boatwright, D.m.d., P.c.
Po Box 1077,
Conway, South Carolina |
| Zip: | 29528-1077 |
| Phone Number: | 843-248-2705 |
| Fax Number: | 843-248-4202 |
Patients can reach Russell A. Boatwright, D.m.d., P.c. at
1603 10th Ave, Conway, South Carolina or can
call to book an appointment on 843-248-2705.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.